Hospital financial distress, recovery and closure: Managerial incentives and political costs

Journal of Public Budgeting, Accounting and Financial Management

Volumn 23, Issue 1, 2011, Pages 31-68

  Liu, Li Lin ^a   Jervis, Kathryn J ^b   Younis, Mustafa Z ^c   Forgione, Dana A ^d  

^a CALIFORNIA STATE UNIVERSITY   (United States)

^b UNIVERSITY OF RHODE ISLAND   (United States)

^c JACKSON STATE UNIVERSITY   (United States)

^d UNIVERSITY OF TEXAS AT SAN ANTONIO   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84930188465     PISSN: 10963367     EISSN: 19451814     Source Type: Journal    
DOI: 10.1108/JPBAFM-23-01-2011-B002     Document Type: Article

References (79)

1. Altman, E.I. (1968). "Financial Ratios, Discriminant Analysis, and the Prediction of Corporate Bankruptcy." Journal of Finance, 23: 589-609.
2. Altman, E.I., Avery, R.B., Eisenbeis, R.A., & Sinkey, J.F., Jr. (1981). Application of Classification Techniques in Business, Banking and Finance. Greenwich, CT: JAI Press.
3. American Hospital Association (AHA). (1991). Overview of the US Health Care System. Chicago, IL: American Hospital Association.
4. Ballou, B., Leitger, D.L., & Tabor R. (2003). "Nonfinancial Performance Measures in the Healthcare Industry." Management Accounting Quarterly, 5(1): 11-20.
5. Bazzoli, G.J, & Cleverley, W.O. (1994). "Hospital Bankruptcies: An Exploration of Potential Causes and Consequences." Health Care Management Review, 19(3): 41-51.
6. Bazzoli, G.J., & Andes, S. (1995). Consequences of Hospital Financial Distress. Working paper, Presented at the Annual Meetings of the Association for Health Services Research.
7. Becker, E.R., & Potter, S.J. (2002). "Organizational Rationality, Performance, and Social Responsibility: Results from the Hospital Industry." Journal of Health Care Finance, 29(1): 23-48.
8. Brauer, L. & C.F. Kaiser III. (2000). Physician Incentive Compensation. Internal Revenue Service Exempt Organization Continuing Professional Education Text. [Online]. Available at http://ftp.irs.gov/pub/irs-tege/eotopicc00.pdf. (Retrieved on November 13, 2009).
9. Brickley, J.A., & Van Horn, R.L. (2002). "Managerial Incentives in Nonprofit Organizations: Evidence from Hospitals." Journal of Law & Economics, 45(1): 227-249.
10. Cannedy, L.L., Pointer, D.D., & Ruchlin, H.S. (1973, Spring). "Viability and Hospital Failure: Methodological Considerations and Some Empirical Evidence." Health Services Research, 9: 27-35.
11. Centers for Medicare & Medicaid Services (CMS). (2007). Hospital Cost Report, Form CMS 2552-96 and Instructions. Washington, DC: Author.
12. Chu, D.K., Zollinger, T.W., Kelley, A.S., & Saywell, R.M., Jr. (1991). "An Empirical Analysis of Cash Flow, Working Capital, and the Stability of Financial Ratio Groups in the Hospital Industry." Journal of Accounting & Public Policy, 10(1): 39-58.
13. Chu, D.K.W. (1999). "The Comparative Performance of US Hospitals: The Sourcebook 1999." Healthcare Financial Management, 53(11): 85-86.
14. Cleverley, W.O. (1986). Essentials of Health Care Finance (2nd ed.). Rockville, MD: Aspen Press.
15. Cleverley, W.O. (1991). "Larger Urban Hospitals Increasingly on Closed List." Healthcare Financial Management, 45(9): 77-78.
16. Cleverley, W.O. (1993). The 1993 Almanac of Hospital Financial & Operating Indicators. Columbus, OH: The Center for Healthcare Industry Performance Studies (CHIPS).
17. Cleverley, W.O., & Nutt, P.C. (1984). "The Decision Process Used for Hospital Bond Rating-and its Implications." Health Services Research, 19(5): 615-637.
18. Cleverley, W.O., & Rohleder, H. (1985). "Unique Dimensions of Financial Analysis Service Ratios." Topics in Health Care Financing, 11(4): 81-88.
19. Craycraft, C. (1994). "The Incremental Information Content of Socioeconomic Data in Evaluating Hospital Performance." Journal of Management Systems, 6(3): 39-52.
20. Department of Health & Human Services (DHHS), Office of Inspector General (OIG). (2003). Trends in Urban & Rural Hospital Closure 1990-2000. (US DHHS, OIG). Washington, DC: Author.
21. Duggan, M.C. (2000, November). "Hospital Ownership and Public Medical Spending." Quarterly Journal of Economics: 1343-1374.
22. Eldenburg, L. & Vines, C. (2004). "Nonprofit Classification Decisions in Response to a Change in Accounting Rules." Journal of Accounting & Public Policy, 23: 1-22.
23. Eldenburg, L., & Krishnan, R. (2003). "Public versus Private Governance: A Study of Incentives and Operational Performance." Journal of Accounting & Economics, 35(3): 377-404.
24. Eldenburg, L., Hermalin, B.E., Weisbach, M.S., & Wosinska, M. (2004). "Governance, Performance Objectives and Organizational Form: Evidence from Hospitals." Journal of Corporate Finance, 10: 527-548.
25. Flannery, T. & D. Hofrichter. (2007, July/August). "What's the Right Incentive Compensation Plan?" Trustee, 60(7): 22-28.
26. Forgione, D.A. (1987). Incentives and Performance in the Health Care Industry: The Case of For/Non Profit Multihospital Systems. Doctoral Dissertation. Amherst, MA: University of Massachusetts at Amherst.
27. Forgione, D.A. (1999). "Health Care Accounting Research: A Review of the Professional Literature, Models, Data, and Research Opportunities." Research in Governmental & Nonprofit Accounting. Greenwich, CT: JAI Press, 10: 163-199.
28. Forgione, D.A., & Giroux, G. (1989, Winter). "Fund Accounting in Nonprofit Hospitals: A Lobbying Perspective." Financial Accountability & Management: 233-244.
29. Forgione, D.A., Schiff, A.D., & Crumbley, D.L. (1996). "Assessing Hospital Performance: An Inventory of Financial and Nonfinancial Metrics." International Association of Management Journal, Forum on Research in Healthcare Financial Management, 8(2): 65-83.
30. Foster, G. (1986). Financial Statement Analysis (2nd ed.). Englewood Cliffs, NJ: Prentice Hall Publishers.
31. Gardiner, L.R, Oswald, S.L, & Jahera, J.S, Jr. (1996). "Prediction of Hospital Failure: A Post-PPS Analysis." Hospital & Health Services Administration, 41(4): 441-460.
32. General Accounting Office (GAO). (1990, June)). Rural Hospitals: Factors that Affect Risk of Closure. (HRD-90-134). [Online]. Available a www.gao.gov.
33. Gilbert, L., Menon, K., & Schwartz, K. (1990, Spring). "Predicting Bankruptcy for Firms in Financial Distress." Journal of Business Finance and Accounting: 161-171.
34. Glandon, G., Counte, M., Holloman, K., & Kowalczyk, J. (1987). "An Analytical Review of Hospital Financial Performance Measures." Hospital & Health Services Administration, 32(4): 439-455.
35. Hefner, D. & K. Hastings. (2008). "The Calculus of Incentive Pay." Modern Healthcare, 38(30): 32.
36. Helderman, R.S., & Wiggins, O. (2007). Hospital Executives Hold out No Hope: Pr. George's Leaders Say Efforts to Save System Continue. [Online]. Available at www.washingtonpost.com/wpdyn/content/article/2007/04/10/AR2007041000849.html. (Retrieved on September 20, 2007).
37. Landry, A.Y., & Landry, R.J. (2009). "Factors Associated with Hospital Bankruptcies: A Political and Economic Framework." Journal of Healthcare Management, 54(4): 252-272.
38. Langland-Orban, B., Gapenski, L.C., & Vogel, W.B. (1996). "Differences in Characteristics of Hospitals with Sustained High and Sustained Low Profitability." Hospital & Health Services Administration, 41(3): 385-399.
39. Lawrence, C.M., & Kurtenbach, J.M. (1995). "Medicare Reimbursement Debt Financing and Measures of Service Efforts and Accomplishments in the Healthcare Industry." International Journal of Public Administration, 18(2&3): 355-381.
40. Leone, A.J., & Van Horn, R.L. (2005). "How Do Nonprofit Hospitals Management Earnings?" Journal of Health Economics, 24: 815-837.
41. Levitz, G.S., & Brooke, P.P., Jr. (1985). "Independent versus System-Affiliated Hospitals: A Comparative Analysis of Financial Performance, Cost, and Productivity." Health Services Research, 20(3): 315-339.
42. Lynch, J.R., & Ozcan, Y.A. (1994). "Hospital Closure: An Efficiency Analysis." Hospital & Health Services Administration, 39(2): 205-220.
43. Lynn, M.L, & Wertheim, P. (1993). "Key Financial Ratios Can Foretell Hospital Closures." Healthcare Financial Management, 47(11): 66-70.
44. Mantone, J. (2005, October 17). "Hospital CEOs Lead the Way." Modern Healthcare, 35(42): 8-9.
45. McCue, M.J., & Ozcan, Y.A. (1992). "Determinants of Capital Structure." Hospital & Health Services Administration, 37(3): 333-346.
46. McKethan, A., Nguyen, N., Sasse, B.E., & Kocot, S.L. (2009, August 18). "Reforming the Medicaid Disproportionate-share Hospital Program." Health Affairs. Web-exclusive: w926-w936.
47. Medicare Payment Advisory Commission (MedPac). (2007a, March). Report to the Congress: Medicare Payment Policy. Washington, DC: Author.
48. Medicare Payment Advisory Commission (MedPac). (2007b, October). Critical Access Hospitals Payment System. Washington, DC: Author.
49. NORC Walsh Center for Rural Health Analysis. (2004). Financially Distressed Rural Hospitals in Four States. (NORC Walsh Center for Rural Health Analysis, W series, No. 2). [Online]. Available at www.norc.org.
50. Pink, G.H., & Leatt, P. (1991). "Are Managers Compensated for Hospital Financial Performance?" Health Care Management Review, 16(3): 37-45.
51. Pink, G.H., Holmes, G., Mark, A., Cameron D., Strunk, L.A., McGee, P, & Slifkin, R. (2005). Financial indicators for Critical Access Hospitals. Flex Monitoring Team Briefing Paper No. 7. University of Minnesota, University of North Carolina at Chapel Hill, and University of Southern Maine.
52. Prospective Payment Assessment Commission (ProPAC). (1991). Medicare and the American Health Care System: Report to the Congress. Washington, DC: Author.
53. Register, C.A., Sharp, A.M., & Stevans, L.K. (1988). "Profit Incentives and the Hospital Industry: New Evidence." Atlantic Economic Journal, 16(1): 25-38.
54. Relman, A. (1980). "The New Medical-industrial Complex." New England Journal of Medicine, 303: 963-70.
55. Renn, S.C., Schramm, C.J., Watt, J.M., & Derzon, R.A. (1985, Fall). "The Effects of Ownership and System Affiliation on the Economic Performance of Hospitals." Inquiry, 22: 219-236.
56. Robinson, J.C. (2001). "Organizational Economics and Health Care Markets." Health Services Research, 36(1): 177-189.
57. Roomkin, M.J., & Weisbrod, B.A. (1999). "Managerial Compensation and Incentives in For-profit and Nonprofit Hospitals." Journal of Law Economics & Organization, 15(3): 750-781.
58. Sager, A. (1983). "Why Urban Voluntary Hospitals Close." Health Services Research, 18(3): 451-475.
59. Sear, A.M. (1992). "Operating Characteristics and Comparative Performance of Investor-Owned Multihospital Systems." Hospital & Health Services Administration, 37(3): 403-415.
60. Sherman, H.D. (1986). "Financial Reporting: Interpreting Hospital Performance with Financial Statement Analysis." The Accounting Review, 61(3): 526-550.
61. Sloan, F.A., Ostermann, J., & Conover, C.J. (2003). "Antecedents of Hospital Ownership Conversions, Mergers and Closures." Inquiry-Excellus Health Plan, 40(1): 39-56.
62. Trussel, J.M., & Greenlee, J.S. (2004). "A Financial Rating System for Charitable Nonprofit Organizations." Research in Governmental and Nonprofit Accounting, 11: 93-116.
63. Trussel, J.M., & Patrick, P.A. (2009). "An Empirical Analysis of Financial Distress in Pennsylvania Hospitals," Journal of Health Care Finance, 36(1): 31-60.
64. US Internal Revenue Code. Section 501(c)3. Exempt Organizations.
65. US Internal Revenue Service (Undated). "Revenue Ruling 69-383, 1969-2 C.B. 113." [Online]. Available at www.irs.gov/pub/irstege/rr69-383.pdf. (Retrieved on November 13, 2009).
66. Vogel, W.B., Langland-Orban, B., & Gapenski, L.C. (1993). "Factors Influencing High and Low Profitability among Hospitals." Health Care Management Review, 18(2): 15-26.
67. Walker, C. (1993). "A Cross-Sectional Analysis of Hospital Profitability." Journal of Hospital Marketing, 7(2): 121-138.
68. Watkins, A.L. (2000). "Hospital Financial Ratio Classification Patterns Revisited: Upon Considering Nonfinancial Information." Journal of Accounting & Public Policy, 19(1): 73-95.
69. Watt, J.M., Derzon, R.A., & Renn, S.C. (1986). "The Comparative Economic Performance of Investor-Owned Chain and Not-For-Profit Hospitals." The New England Journal of Medicine, 314(2): 89-96.
70. Werner, B. (1999, August 6). "Church Hospital for Sale." Baltimore Business Journal [Online]. Available at http://baltimore.bizjournals.com/baltimore/stories/1999/08/09/story1.html?page=1. (Retrieved on July 1, 2008)
71. Williams, D., Hadley, J., & Pettengill, J. (1992). "Profits, Community Role, and Hospital Closure: An Urban and Rural Analysis." Medical Care, 30(2): 174-187.
72. Wyatt-Johnson, C., & Bennett, C.J. (2004). "Calibrating Executive Compensation." Trustee, 57(3): 12-20.
73. Younis, M.Z, & Forgione, D.A. (2005). "Using Return on Equity and Total Profit Margin to Evaluate Hospital Performance in the US: A Piecewise Regression Analysis." Journal of Health Care Finance, 31(3): 82-88.
74. Younis, M.Z. (2006). "The Relationship Between the Balanced Budget Act (BBA) and Hospital Profitability." Journal of Health Care Finance, 32(3): 72-79.
75. Younis, M.Z., Forgione, D.A., Khan, M., & Barkoulas, J. (2003). "Hospital Profitability in Florida: A Revisitation." Research in Healthcare Financial Management, 8(1): 95-102.
76. Younis, M.Z., Rice, J., & Barkoulas, J. (2001). "An Empirical Investigation of Hospital Profitability in the Post-PPS Era." Journal of Health Care Finance, 28(2): 65-72.
77. Zeidan, R.Y. (2007). Charity Care Measurement, Political Cost Constraints and Discretionary Spending by Hospitals (Working Paper). Houston, TX: University of Houston.
78. Zeller, T.L., Stanko, B.B., & Cleverley, W.O. (1996). "A Revised Classification Pattern of Hospital Financial Ratios." Journal of Accounting & Public Policy, 15: 161-182.
79. Zuckerman, A.E., & Hranchak, W.H. (1988). "Employer Executive Compensation and Benefits after the Tax Reform Act of 1986." Topics in Health Care Finance, 14(4): 61-72.